ANDREW ROSS COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

ROSS

Last Name

COHEN

Business Name

ANDREW ROSS COHEN MD

Original Issue Date

11/15/2017

Effective Date

11/15/2017

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021